ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?
Correct Answer: C
Rationale: Phantom pain is a real phenomenon with physiological underpinnings, not merely psychological, and should be included in preoperative teaching to prepare the patient. Tingling sensations or expectations of pain disappearing soon are not accurate, and pain may not gradually lessen as phantom limb pain can be intense.
Question 2 of 5
A nurse is assessing a client who has intravenous therapy-related phlebitis. The nurse uses the Infusion Nurses Society's phlebitis scale to assess the severity of phlebitis and documents the client's phlebitis as grade level 1. Which of the following assessment findings correlates with a grade level of 1?
Correct Answer: B
Rationale: Redness at the IV site with pain corresponds to grade 1 phlebitis on the Infusion Nurses Society's scale, indicating mild erythema and possible pain. Purulent drainage, red streaks, and a palpable venous cord indicate more severe grades (2-4).
Question 3 of 5
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4+ T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Correct Answer: C
Rationale: Candidiasis is a common opportunistic infection in HIV/AIDS patients with low CD4+ T-cell counts, causing oral thrush.
Question 4 of 5
A nurse is caring for a client who has prostate cancer and has undergone a prostatectomy. Which of the following should the nurse understand as a potential complication of prostate surgery?
Correct Answer: B
Rationale: Erectile dysfunction is a common complication of prostatectomy due to potential nerve and blood vessel damage. Testicular torsion is unrelated, cystitis is less common, and paralytic ileus, while possible, is typically temporary.
Question 5 of 5
A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate (TURP). The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: It is common for clients to feel a constant urge to void due to bladder irritation from the catheter and continuous bladder irrigation. Reminding the client that this is normal can alleviate anxiety.